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1.
J Frailty Aging ; 12(1): 16-23, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-36629079

RESUMEN

BACKGROUND: The aging of global population has increased the scientific interest in the concept of healthy aging and its determinants. AIM: The aim of this study was to investigate the association of sleep characteristics with trajectories of healthy aging. DESIGN AND SETTING: Prospective observational study conducted in two cities, Maroussi and Larissa. PARTICIPANTS: A total of 1226 older adults (≥65 years, 704 women) were selected through random sampling. MEASUREMENTS: Sleep quality was assessed with the Sleep Index II, and sleep duration was self-reported. A healthy aging metric was introduced using an Item Response Theory approach based on validated questionnaires that assessed functionality. Four healthy aging trajectories were developed based on whether the healthy aging status of the participants was above (High) or below (Low) the median at baseline and follow-up, i.e., High-High, High-Low, Low-High, and Low-Low. The association of sleep characteristics with the trajectories was investigated using a multinomial logistic regression with the Low-Low group as reference, adjusting for potential confounders. RESULTS: 34.3% participants classified to the High-High group, 15.7% to the High-Low, 18.6% to the Low-High, and 31.4% to the Low-Low group. Better sleep quality was associated with the probability of belonging to the High-High group (p-value<0.001); while, long sleep duration was inversely associated with likelihood of being classified in the High-High group (p-value < 0.05). CONCLUSION: Poor sleep quality and long sleep duration seem to have a significant negative association with healthy aging. Public health policies are needed to raise awareness about the importance of sleep characteristics on human health.


Asunto(s)
Envejecimiento Saludable , Calidad del Sueño , Humanos , Femenino , Anciano , Estudios Longitudinales , Sueño/fisiología , Envejecimiento/fisiología
2.
J Frailty Aging ; 12(1): 24-29, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-36629080

RESUMEN

BACKGROUND: Vascular function (VF) is a general term used to describe the regulation of blood flow, arterial pressure, capillary recruitment, filtration and central venous pressure, it´s well known that age has direct effects on the VF, and this may affect the frailty status. OBJECTIVES: To analyse the association between Frailty Trait Scale 5 (FTS 5) with VF and its changes at values below and above a nadir. DESIGN: Prospective population-based cohort study. SETTING AND PARTICIPANTS: Data from 1.230 patients were taken from the first wave (2006-2009) of the Toledo Study for Healthy Aging. MEASUREMENTS: Frailty was evaluated using FTS 5, which evaluates 5 items: Body mass index, progressive Romberg, physical activity, usual gait speed and hand grip strength. VF was assessed using the ankle-brachial index (ABI) as an indirect measure of VF. Screening for cardiovascular and cerebrovascular disease was also performed by self-reporting and by searching medical records, and was used as exclusion criteria. RESULTS: The optimal ABI cut-off point that maximized the adjusted R2 was 1.071. We observed a statistically significant association for FTS 5 score above and below the ABI cut-off points. For every tenth that the ABI decreased below the cut-off point the patient had an increase in the FTS 5 score of 0.47 points and in every tenth that increased above the cut-off point the increase in the FTS 5 score was 0.41 points. Of all FTS 5 items, the gait speed was the only item that showed a significant association with an ABI changes 0.28 and 0.21 points for every tenth below and above the cut-off point, respectively. CONCLUSIONS: Frailty is highly associated with VF. In addition, FTS 5 and its gait speed criteria are useful to detect VF impairments, via changes in ABI.


Asunto(s)
Fragilidad , Envejecimiento Saludable , Humanos , Índice Tobillo Braquial , Fragilidad/diagnóstico , Estudios de Cohortes , Estudios Prospectivos , Fuerza de la Mano
3.
J Prev Alzheimers Dis ; 10(1): 34-40, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-36641608

RESUMEN

BACKGROUND: Recruitment to dementia prevention clinical trials is challenging, and participants are not representative of US adults at risk. A better understanding of the general public's interest in dementia prevention research participation is needed to inform future recruitment strategies. OBJECTIVE: To examine US adults' characteristics associated with self-reported likelihood to participate in dementia prevention clinical trials. DESIGN: We conducted a cross-sectional survey using the October 2018 wave of the University of Michigan National Poll on Healthy Aging. SETTING: The National Poll on Healthy Aging is a nationally representative survey of adults using KnowledgePanel (Ipsos Public Affairs LLC), a probability-based panel of the civilian, noninstitutionalized US population. PARTICIPANTS: We analyzed data from 1,028 respondents, ages 50 to 64 years, who completed a web survey module on brain health. MEASUREMENTS: We used logistic regression models to examine associations between sociodemographic and dementia-related factors (e.g., family history) and self-reported likelihood to participate in a dementia prevention clinical trial of a new medicine ("very" or "somewhat likely" vs. "not likely" survey responses). Among respondents not likely to participate, we examined frequency of reasons endorsed for this decision, stratified by age, sex, and race and ethnicity. RESULTS: Of the 1,028 respondents, half were female, 68% Non-Hispanic White, 13% Hispanic, and 12% Non-Hispanic Black. Twelve percent of respondents reported being very likely to participate in a dementia prevention trial, 32% somewhat likely, and 56% not likely. Factors associated with higher likelihood to participate were higher perceived risk of dementia [OR, 2.17 (95% CI, 1.61, 2.93)], a positive family history of dementia [OR, 1.75 (95% CI, 1.27, 2.43)], and having discussed dementia prevention with a doctor [OR, 2.20 (95% CI, 1.10, 4.42)]. There were no differences in likelihood to participate by sociodemographic characteristics. Among 570 respondents not likely to participate, 39% said they did not want to be a guinea pig, 23% thought dementia would not affect them, 22% thought there would be too high a chance for harm, 15% indicated study participation would take too much time, and 5% reported fear of learning information about oneself. There were no differences across age, sex, and racial and ethnic groups. CONCLUSIONS: In this study, perceived risk of dementia, family history, and discussion of prevention with a doctor were associated with likelihood to participate in a dementia prevention clinical trial, whereas sociodemographic factors including race and ethnicity were not. Findings suggest that recruitment interventions focused on increasing knowledge of dementia risk and prevention trials and involving healthcare providers may be effective tools to improve enrollment rates, regardless of target community.


Asunto(s)
Demencia , Envejecimiento Saludable , Humanos , Femenino , Animales , Cobayas , Masculino , Estudios Transversales , Etnicidad , Probabilidad , Demencia/prevención & control
4.
Washington, D.C.; OPS; 2023-01-20.
No convencional en Español | PAHO-IRIS | ID: phr-57049

RESUMEN

La estrategia mundial sobre el envejecimiento y la salud y su primer plan de acción 2016-2020 exigen a la OMS que elabore en el 2020 un informe de referencia sobre la Década del Envejecimiento Saludable. En mayo del 2020 se presentó un informe preliminar a la Asamblea Mundial de la Salud. El nuevo plan de acción de la estrategia, la Década del Envejecimiento Saludable, también insta a la OMS y a los asociados de las Naciones Unidas a elaborar informes sobre la situación respecto de las líneas de base y confirma el mandato de la OMS de dar seguimiento a los progresos alcanzados durante el período comprendido entre el 2021 y el 2030. En este informe se presentan las líneas de base desde la perspectiva de la OMS. En este mandato se reconoce que lo que se mide impulsa la acción. La acción debe basarse en evidencia científica y alinearse con las expectativas de las personas mayores y las prioridades que se negocian con los interesados directos y los recursos de los responsables de la toma de decisiones. En este informe de referencia se abordan cinco temas. Empieza por la presentación del envejecimiento saludable, las acciones y los facilitadores de la Década del Envejecimiento Saludable, y el camino para acelerar el impacto para el 2030. Los capítulos siguientes explican cuál es el punto de partida, al comienzo de la década en el 2020; las mejoras que se pueden prever para el 2030, incluidos los progresos y los escenarios de mejora; las acciones concretas para acelerar el impacto en la vida de las personas mayores; y los próximos pasos, que incluyen las oportunidades para impulsar la colaboración y el impacto para el 2023, cuando se presentará el próximo informe.


Asunto(s)
Envejecimiento , Envejecimiento Saludable , Anciano , Desarrollo Sostenible , COVID-19
5.
Washington, D.C.; OPAS; 2023-01-10.
No convencional en Portugués | PAHO-IRIS | ID: phr-56991

RESUMEN

A Estratégia Global sobre Envelhecimento e Saúde e seu plano de ação 2016-2020, incumbem a OMS de produzir um relatório de referência em 2020 para a Década do Envelhecimento Saudável. Um relatório preliminar foi apresentado à Assembleia Mundial da Saúde em maio de 2020. O novo plano de ação da estratégia, a Década, também exige que a OMS e os parceiros da ONU produzam relatórios de linha de base e confirma o mandato da OMS de acompanhar o progresso durante 2021-2030. Este relatório é a linha de base da perspectiva da OMS e reconhece que o que é medido impulsiona a ação. A ação precisa ser informada por evidências e alinhada com as expectativas das pessoas idosas e as prioridades que são negociadas com as partes interessadas e apoiadas pelos tomadores de decisão. O Relatório de Linha de Base para a Década do Envelhecimento Saudável 2021-2030 aborda cinco questões; começando com uma introdução sobre o Envelhecimento Saudável, as áreas de ação e facilitadores da Década e o caminho para acelerar o impacto até 2030. Os capítulos seguintes são dedicados a explicar onde estamos em 2020, no início da Década. O relatório fornece uma linha de base inédita para o envelhecimento saudável em todo o mundo e mostra quais melhorias podemos esperar até 2030, apresentando o progresso e os cenários de melhoria. Essas melhorias podem ser alcançadas por meio de ações concretas sobre como podemos acelerar o impacto na vida das pessoas idosas. O resumo mostra como as pessoas idosas e as partes interessadas podem juntos otimizar a habilidade funcional. Para finalizar, são destacadas as próximas etapas, que incluem oportunidades para aumentar a colaboração e o impacto até 2023, o próximo período do relatório.


Asunto(s)
Envejecimiento Saludable , Anciano , Salud del Anciano
8.
Aging (Albany NY) ; 15(1): 21-36, 2023 Jan 06.
Artículo en Inglés | MEDLINE | ID: mdl-36622277

RESUMEN

Dietary restriction (DR) is a highly effective and reproducible intervention that prolongs longevity in many organisms. The molecular mechanism of action of DR is tightly connected with the immune system; however, the detailed mechanisms and effective downstream factors of immunity that mediate the beneficial effects of DR on aging remain unknown. Here, to investigate the immune signaling that mediates DR effects, we used Caenorhabditis elegans, which has been widely used in research, to understand the underlying molecular mechanisms of aging and immunity. We found that the F-box gene, fbxc-58, a regulator of the innate immune response, is a novel mediator of DR effects on extending the health span of C. elegans. fbxc-58 is upregulated by DR and is necessary for DR-induced lifespan extension and physical health improvement in C. elegans. Furthermore, through DR, fbxc-58 prevents disintegration of the mitochondrial network in body wall muscle during aging. We found that fbxc-58 is a downstream target of the ZIP-2 and PHA-4 transcription factors, the well-known DR mediator, and fbxc-58 extends longevity in DR through an S6 kinase-dependent pathway. We propose that the novel DR effector, fbxc-58, could provide a new mechanistic understanding of the effects of DR on healthy aging and elucidate the signaling mechanisms that link immunity and DR effects with aging.


Asunto(s)
Proteínas de Caenorhabditis elegans , Envejecimiento Saludable , Animales , Caenorhabditis elegans/metabolismo , Proteínas de Caenorhabditis elegans/metabolismo , Restricción Calórica , Inmunidad Innata/fisiología
9.
Int J Aging Hum Dev ; 96(1): 33-50, 2023 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-35673267

RESUMEN

Using the 2006-2016 wave of Health and Retirement Study and Korean Longitudinal Study of Aging, this study explores the gender disparities in the health of older adults in the United States and South Korea. A logit model is adopted to explore the differences in the likelihood of aging healthily by gender in two countries. Results indicate that older females in the United States have a significantly higher probability of healthy aging than their male counterparts. However, the opposite finding is demonstrated among the older population in South Korea. These results are verified using various robustness check methods. The heterogeneities in the gender disparities in healthy aging across age groups and income levels are further explored. The gender effect in each healthy aging domain is investigated to understand the underlying causes of gender disparities. These findings can provide cross-national insights for policymakers to establish targeted aging policies with a gender perspective.


Asunto(s)
Envejecimiento Saludable , Femenino , Estados Unidos , Humanos , Masculino , Anciano , Estudios Longitudinales , República de Corea/epidemiología , Jubilación , Envejecimiento
10.
Biogerontology ; 24(1): 111-136, 2023 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-36478541

RESUMEN

The effects during healthy aging of the tetrodotoxin-resistant voltage-gated sodium channel 1.8 (Nav1.8), the acid-sensing ion channel-3 (ASIC3), the purinergic-receptor 2X3 (P2X3) and transient receptor potential of melastatin-8 (TRPM8) on responses to non-noxious stimuli are poorly understood. These effects will influence the transferability to geriatric subjects of findings obtained using young animals. To evaluate the involvement of these functional markers in mechanical and cold sensitivity to non-noxious stimuli and their underlying mechanisms, we used a combination of immunohistochemistry and quantitation of immunostaining in sub-populations of neurons of the dorsal root ganglia (DRG), behavioral tests, pharmacological interventions and Western-blot in healthy male Wistar rats from 3 to 24 months of age. We found significantly decreased sensitivity to mechanical and cold stimuli in geriatric rats. These behavioural alterations occurred simultaneously with differing changes in the expression of Nav1.8, ASIC3, P2X3 and TRPM8 in the DRG at different ages. Using pharmacological blockade in vivo we demonstrated the involvement of ASIC3 and P2X3 in normal mechanosensation and of Nav1.8 and ASIC3 in cold sensitivity. Geriatric rats also exhibited reductions in the number of A-like large neurons and in the proportion of peptidergic to non-peptidergic neurons. The changes in normal sensory physiology in geriatric rats we report here strongly support the inclusion of aged rodents as an important group in the design of pre-clinical studies evaluating pain treatments.


Asunto(s)
Envejecimiento Saludable , Canales Catiónicos TRPM , Ratas , Masculino , Animales , Canales Iónicos Sensibles al Ácido/metabolismo , Ratas Sprague-Dawley , Ratas Wistar , Células Receptoras Sensoriales/metabolismo , Canales Catiónicos TRPM/metabolismo
11.
Neurobiol Aging ; 121: 129-138, 2023 01.
Artículo en Inglés | MEDLINE | ID: mdl-36436304

RESUMEN

Homocysteine (Hcy) is a vascular risk factor associated with cognitive impairment and cerebrovascular disease but has also been implicated in Alzheimer's disease (AD). Using multivariate Scaled Subprofile Model (SSM) analysis, we sought to identify a network pattern in structural neuroimaging reflecting the regionally distributed association of plasma Hcy with subcortical gray matter (SGM) volumes and its relation to other health risk factors and cognition in 160 healthy older adults, ages 50-89. We identified an SSM Hcy-SGM pattern that was characterized by bilateral hippocampal and nucleus accumbens volume reductions with relative volume increases in bilateral caudate, pallidum, and putamen. Greater Hcy-SGM pattern expression was associated with greater white matter hyperintensity (WMH) volume, older age, and male sex, but not with other vascular and AD-related risk factors. Mediation analyses revealed that age predicted WMH volume, which predicted Hcy-SGM pattern expression, which, in turn, predicted cognitive processing speed performance. These findings suggest that the multivariate SSM Hcy-SGM pattern may be indicative of cognitive aging, reflecting a potential link between vascular health and cognitive dysfunction in healthy older adults.


Asunto(s)
Enfermedad de Alzheimer , Disfunción Cognitiva , Envejecimiento Saludable , Sustancia Blanca , Masculino , Humanos , Anciano , Anciano de 80 o más Años , Sustancia Blanca/diagnóstico por imagen , Sustancia Blanca/patología , Homocisteína , Pruebas Neuropsicológicas , Imagen por Resonancia Magnética , Encéfalo/patología , Atrofia/patología , Cognición , Disfunción Cognitiva/etiología , Disfunción Cognitiva/complicaciones , Enfermedad de Alzheimer/patología
12.
Redox Biol ; 59: 102574, 2023 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-36521306

RESUMEN

Mice with ectopic expression of uncoupling protein-1 (UCP1) in skeletal muscle exhibit a healthy aging phenotype with increased longevity and resistance to impaired metabolic health. This may be achieved by decreasing protein glycation by the reactive metabolite, methylglyoxal (MG). We investigated protein glycation and oxidative damage in skeletal muscle of mice with UCP1 expression under control of the human skeletal actin promoter (HSA-mUCP1) at age 12 weeks (young) and 70 weeks (aged). We found both young and aged HSA-mUCP1 mice had decreased advanced glycation endproducts (AGEs) formed from MG, lysine-derived Nε(1-carboxyethyl)lysine (CEL) and arginine-derived hydroimidazolone, MG-H1, whereas protein glycation by glucose forming Nε-fructosyl-lysine (FL) was increased ca. 2-fold, compared to wildtype controls. There were related increases in FL-linked AGEs, Nε-carboxymethyl-lysine (CML) and 3-deoxylglucosone-derived hydroimidazolone 3DG-H, and minor changes in protein oxidative and nitration adducts. In aged HSA-mUCP1 mice, urinary MG-derived AGEs/FL ratio was decreased ca. 60% whereas there was no change in CML/FL ratio - a marker of oxidative damage. This suggests that, normalized for glycemic status, aged HSA-mUCP1 mice had a lower flux of whole body MG-derived AGE exposure compared to wildtype controls. Proteomics analysis of skeletal muscle revealed a shift to increased heat shock proteins and mechanoprotection and repair in HSA-mUCP1 mice. Decreased MG-derived AGE protein content in skeletal muscle of aged HSA-mUCP1 mice is therefore likely produced by increased proteolysis of MG-modified proteins and increased proteostasis surveillance of the skeletal muscle proteome. From this and previous transcriptomic studies, signaling involved in enhanced removal of MG-modified protein is likely increased HSPB1-directed HUWE1 ubiquitination through eIF2α-mediated, ATF5-induced increased expression of HSPB1. Decreased whole body exposure to MG-derived AGEs may be linked to increased weight specific physical activity of HSA-mUCP1 mice. Decreased formation and increased clearance of MG-derived AGEs may be associated with healthy aging in the HSA-mUCP1 mouse.


Asunto(s)
Productos Finales de Glicación Avanzada , Envejecimiento Saludable , Humanos , Ratones , Animales , Anciano , Lactante , Productos Finales de Glicación Avanzada/metabolismo , Lisina/metabolismo , Piruvaldehído/metabolismo , Reacción de Maillard , Proteína Desacopladora 1/metabolismo , Expresión Génica Ectópica , Proteínas/metabolismo , Músculo Esquelético/metabolismo , Proteínas Supresoras de Tumor/metabolismo , Ubiquitina-Proteína Ligasas/metabolismo
13.
BMC Geriatr ; 22(1): 932, 2022 Dec 03.
Artículo en Inglés | MEDLINE | ID: mdl-36460959

RESUMEN

BACKGROUND: In view of age-related health concerns and resource vulnerabilities challenging older adults to age in place, upstream health resource interventions can inform older adults about the availability, accessibility, and utility of resources and equip them with better coping behaviours to maintain health and independence. This paper described the development process and evaluated the feasibility of an upstream health resource intervention, titled Salutogenic Healthy Ageing Programme Embracement (SHAPE), for older adults living alone or with spouses only. METHODS: A pilot randomised controlled trial design was adopted. SHAPE was designed to equip older adults with resource information and personal conviction to cope with stressors of healthy aging. This 12-week intervention comprised 12 weekly structured group sessions, at least two individual home visits and a resource book. Both the intervention and control groups received usual care provided in the community. Feasibility of SHAPE intervention was evaluated using recruitment rate, intervention adherence, data collection completion rate, satisfaction survey and post-intervention interview. Outcome measures (sense of coherence, health-promoting lifestyle behaviours, quality of life, self-efficacy, and self-rated health) were assessed at baseline and post-intervention. Paired t-tests were used to examine within-group changes in outcome measures. Content analysis was used to analysed qualitative data. RESULTS: Thirty-four participants were recruited and randomised. While recruitment rate was low (8.9%), intervention adherence (93.75%) and data collection completion (100%) were high. Participants expressed high satisfaction towards SHAPE intervention and found it useful. Participants experienced mindset growth towards personal and ageing experiences, and they were more proactive in adopting healthful behaviours. Although the programme was tailored according to needs of older adults, it required refinement. Intention-to-treat analysis showed significant increase in overall health-promoting lifestyle behaviours, health responsibility, physical activity, spiritual growth, and stress management among intervention participants. However, they reported a significant drop in autonomy post-intervention. CONCLUSION: Findings of this pilot trial suggested that with protocol modifications, SHAPE can be a feasible and beneficial health resource intervention for older adults. Modifications on recruitment strategies, eligibility criteria, selection of outcome measures, training of resource facilitators and strong collaboration bonds with community partners would be needed to increase feasibility robustness and scientific rigor of this complex intervention. TRIAL REGISTRATION: This study has been registered with clinicaltrials.gov on 10/05/2017. The trial registration number is NCT03147625.


Asunto(s)
Recursos en Salud , Envejecimiento Saludable , Humanos , Anciano , Proyectos Piloto , Calidad de Vida , Ambiente en el Hogar , Esposos
14.
Physiol Rep ; 10(23): e15519, 2022 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-36461659

RESUMEN

Altered neural processing and increased respiratory sensations have been reported in chronic obstructive pulmonary disease (COPD) as larger respiratory-related evoked potentials (RREPs), but the effect of healthy-aging has not been considered adequately. We tested RREPs evoked by brief airway occlusions in 10 participants with moderate-to-severe COPD, 11 age-matched controls (AMC) and 14 young controls (YC), with similar airway occlusion pressure stimuli across groups. Mean age was 76 years for COPD and AMC groups, and 30 years for the YC group. Occlusion intensity and unpleasantness was rated using the modified Borg scale, and anxiety rated using the Hospital Anxiety and Depression Scale. There was no difference in RREP peak amplitudes across groups, except for the N1 peak, which was significantly greater in the YC group than the COPD and AMC groups (p = 0.011). The latencies of P1, P2 and P3 occurred later in COPD versus YC (p < 0.05). P3 latency occurred later in AMC than YC (p = 0.024). COPD and AMC groups had similar Borg ratings for occlusion intensity (3.0 (0.5, 3.5) [Median (IQR)] and 3.0 (3.0, 3.0), respectively; p = 0.476) and occlusion unpleasantness (1.3 (0.1, 3.4) and 1.0 (0.75, 2.0), respectively; p = 0.702). The COPD group had a higher anxiety score than AMC group (p = 0.013). A higher N1 amplitude suggests the YC group had higher cognitive processing of respiratory inputs than the COPD and AMC groups. Both COPD and AMC groups showed delayed neural responses to the airway occlusion, which may indicate impaired processing of respiratory sensory inputs in COPD and healthy aging.


Asunto(s)
Obstrucción de las Vías Aéreas , Envejecimiento Saludable , Enfermedad Pulmonar Obstructiva Crónica , Humanos , Anciano , Sistema Respiratorio , Frecuencia Respiratoria , Potenciales Evocados
15.
Washington, D.C.; OPAS; 2022-12-20.
No convencional en Portugués | PAHO-IRIS | ID: phr-56894

RESUMEN

A Estratégia Global sobre Envelhecimento e Saúde e seu plano de ação 2016-2020, incumbem a OMS de produzir um relatório de referência em 2020 para a Década do Envelhecimento Saudável. Um relatório preliminar foi apresentado à Assembleia Mundial da Saúde em maio de 2020. O novo plano de ação da estratégia, a Década, também exige que a OMS e os parceiros da ONU produzam relatórios de linha de base e confirma o mandato da OMS de acompanhar o progresso durante 2021-2030. Este relatório é a linha de base da perspectiva da OMS e reconhece que o que é medido impulsiona a ação. A ação precisa ser informada por evidências e alinhada com as expectativas das pessoas idosas e as prioridades que são negociadas com as partes interessadas e apoiadas pelos tomadores de decisão. O Relatório de Linha de Base para a Década do Envelhecimento Saudável 2021-2030 aborda cinco questões; começando com uma introdução sobre o Envelhecimento Saudável, as áreas de ação e facilitadores da Década e o caminho para acelerar o impacto até 2030. Os capítulos seguintes são dedicados a explicar onde estamos em 2020, no início da Década. O relatório fornece uma linha de base inédita para o envelhecimento saudável em todo o mundo e mostra quais melhorias podemos esperar até 2030, apresentando o progresso e os cenários de melhoria. Essas melhorias podem ser alcançadas por meio de ações concretas sobre como podemos acelerar o impacto na vida das pessoas idosas. O relatório mostra como as pessoas idosas e as partes interessadas podem juntos otimizar a habilidade funcional. Para finalizar, são destacadas as próximas etapas, que incluem oportunidades para aumentar a colaboração e o impacto até 2023, o próximo período do relatório.


Asunto(s)
Envejecimiento Saludable , Anciano , Desarrollo Sostenible , COVID-19
16.
Washington, D.C.; OPAS; 2022-12-19.
No convencional en Portugués | PAHO-IRIS | ID: phr-56872

RESUMEN

A estrutura para os países alcançarem um continuum integrado de cuidados de longa duração identifica os principais aspectos necessários para que os cuidados de longa duração sejam prestados e recebidos de forma não fragmentada e para facilitar a integração dos serviços de cuidados de longa duração dentro dos sistemas sociais e de saúde existentes. As características dos sistemas de cuidados de longa duração variam entre os países e, portanto, esta estrutura irá orientá-lo na avaliação dos componentes a nível de sistema para implementar ações de cuidados de longa duração sustentáveis ​​e equitativas. O documento destina-se principalmente a governos e formuladores de políticas e espera-se que, ao aplicar essa estrutura, os países desenvolvam seus sistemas de cuidados de longa duração como parte de seus programas de cobertura universal de saúde e promovam investimentos em cuidados de longa duração e na força de trabalho em saúde, incluindo cuidadores. A estrutura descreve os elementos para construir um continuum integrado de cuidados de longa duração: a) governança; b) financiamento sustentável; c) sistemas de informação, monitoramento e avaliação; d) força de trabalho; e) prestação de serviços; e f) inovação e pesquisa, e medidas que podem ser tomadas para orientar o planejamento nacional e os processos de tomada de decisão para a implementação de cuidados de longa duração. As seções do documento aprofundam a importância de cada elemento e recomendam medidas, sem tentar propor uma solução universal válida para todos os casos, reconhecendo assim que as particularidades de cada local devem ser consideradas.


Asunto(s)
Envejecimiento Saludable , Atención Dirigida al Paciente , Cobertura Universal de Salud , COVID-19
17.
Public Health Res Pract ; 32(4)2022 Dec 13.
Artículo en Inglés | MEDLINE | ID: mdl-36509686

RESUMEN

Objectives and importance of the study: To identify the value and contribution of the 45 and Up Study toward understanding and advancing healthy ageing. STUDY TYPE: Narrative review Methods: A review of the purpose, process, and output of the 45 and Up Study in relation to the World Health Organization's Healthy Ageing Framework. RESULTS: The Sax Institute's 45 and Up Study (the Study) is Australia's largest longitudinal study of healthy ageing, with participants aged from 45 years to over 100 years followed over time through surveys and linked health and aged care data. The study is a powerful resource for understanding healthy ageing for the Australian population, identifying the factors that enable people to age well, widening inequities as people age, and prospects for healthy ageing for current and subsequent generations. To date, the participants have been followed for more than 15 years, providing information on the foundations of health in mid and later-life, factors affecting work, impacts of retirement, and the importance of housing, care, and aged services in improving the lives of people as they age. Moreover, since the Study cohort covers a wide age range, it is possible to divide the cohort into sequences, allowing comparisons of people in their 80s now (for example) with people who were aged in their 80s five, 10 or 15 years ago. Adding genetic and other biological and clinical data for some participants will further enhance the value of the project as a comprehensive study of healthy ageing. CONCLUSIONS: The Study provides a clear view of factors affecting healthy ageing within population, healthcare, environmental and policy contexts. Over time, the Study will increase in value with the capacity to inform health services, policy, and aged care and to contribute to an ongoing cycle of evaluation and reform to continue to meet the needs of successive generations of people in the later stages of their lives.


Asunto(s)
Envejecimiento Saludable , Humanos , Anciano de 80 o más Años , Estudios Longitudinales , Australia , Envejecimiento , Encuestas y Cuestionarios
18.
Artículo en Inglés | MEDLINE | ID: mdl-36554873

RESUMEN

People are living longer, and our life has become more digital. Hence, the benefits from digital technology, including economic growth, increasing labor productivity, and ensuring health equity in the face of an aging population emerged as a vital topic for countries around the world. Japan, the Republic of Korea (ROK), Singapore, and Thailand are in the top ten rankings in terms of information and communication technology (ICT) development within the Asia Pacific Region and all are facing challenges of population aging. Well-designed national ICT policy and health promotion policies enabled the countries to make significant progress and development in terms of digitalization and healthy aging. This paper aims to answer questions regarding digitization and health promotion: when it started, how it is going, what are the achievements, and what it holds for the future, considering healthy aging and digitalization by reviewing the national ICT policy and health promotion policies of Japan, Korea, Singapore, and Thailand. This paper is expected to help readers build a comprehensive understanding of each country's journey towards building a healthy aging digital society. Furthermore, we hope this paper can be a source for countries to exchange experiences and learn from each other with a joint goal of building a healthy aging digital society.


Asunto(s)
Envejecimiento Saludable , Humanos , Anciano , Tailandia , Singapur , Japón , Dinámica Poblacional , Demografía , Política Pública , Países en Desarrollo , República de Corea , Promoción de la Salud
20.
Alzheimers Dement ; 18 Suppl 9: e060573, 2022 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-36537946

RESUMEN

Positive health behaviors can promote brain health with age. We developed a novel health education and implementation group for older Veterans called the "Healthy Aging Project: Brain" also known as HAP-B. We had these primary goals: provide psychoeducation, focus on 'what matters', improve awareness of health behaviors, and promote behavioral change through individualized goal-setting, monitoring, and support. The scientific literature + needs assessment-based content addresses 4 key areas: physical activity, sleep improvement, cognitive stimulation, and social interaction. Each of the 6 "classes" are 90 minutes long. Pre-pandemic n=37 Veterans across 6 groups participated. To mitigate health risk exposure and reach Veterans for whom travel is a barrier, we have adapted the group to a virtual format with n=18 participants across 3 virtual groups (another group is ongoing, n=6). This QA/QI project collects optional pre/post self-report measures which target satisfaction with the group, depressive symptoms, sleep quality, social support, and subjective well-being. Additions along the way include in-session self-ratings for targeted goal behavior adherence and a pre/post self-efficacy questionnaire. Our population tends to be predominantly male and White. Results and qualitative findings are promising. The group has successfully been run in 3 outpatient in-person settings: Mental Health Services, Geriatrics Memory Health Clinic, and Primary Care Mental Health Integration. In-person results suggest a significant decline in report of depressive symptoms. Lessons learned for implementation for both the in-person and virtual formats will be shared, as well as analyses on associations between self-efficacy and satisfaction with life over time. Future directions include ongoing data collection to increase power, continued efforts to increase participant diversity, and direct comparison of in-person vs virtual formats. We will also present our initiated adaptation for flexible use in long-term care facilities and among those with cognitive impairments.


Asunto(s)
Terapia Cognitivo-Conductual , Disfunción Cognitiva , Envejecimiento Saludable , Humanos , Masculino , Femenino , Encéfalo , Apoyo Social
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